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Organization
PIVOTAL HEALTH AND REHAB LLC
Active
Organization
PIVOTAL HEALTH AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WAYNE BOWERS DC (OWNER/CEO)
(803) 254-4699
Entity
Organization
Contact information
Practice address
120 HIGHLAND CENTER DR, COLUMBIA, SC 29203-9127
(803) 254-4699
(803) 851-1235
Mailing address
PO BOX 8, LEXINGTON, SC 29071-0008
(803) 254-4699
(803) 851-1235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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